Individual
VIRGINIA INGE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
6576 AIRPORT BLVD STE C200, MOBILE, AL 36608-3788
(251) 273-5686
(251) 973-8216
Mailing address
6576 AIRPORT BLVD STE C200, MOBILE, AL 36608-3788
(251) 583-6887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3845
AL
Other
Enumeration date
01/09/2018
Last updated
03/23/2023
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